Individual
KRISTY MARIE RAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1920 DEER PARK AVE STE 104, DEER PARK, NY 11729-3314
(631) 392-1680
Mailing address
35 HICKORY AVE, FARMINGVILLE, NY 11738-1713
(631) 404-2399
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306166
NY
Other
Enumeration date
12/17/2012
Last updated
06/02/2022
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